Anatomical venous distribution around the lower esophagus, gastric cardia and fundus in 100 adult cadavers had been observed. The results showed that the occurrence rate of the left gastric and the right gastric veins were 96% and 92% respectively. Venous distribution in the lesser curvature of the stomach can be classified into five types: the left gastric vein type, the right gastric vein type,the left gastric vein dominant type, the right gastric vein dominant type, and the balance type (of the left and the right gastric veins). The retrogastric veins were found in 73.6% of 100 cadavers showed portacaval anastomoses. From March 1976 to March 1992, we had treated with transthoracic interruption of portoazygous circulation, 52 cases of portal hypertension resulting in bleeding du to rupture of esophageal and venriculi fundus varices ( male 43, female 9). Among the 41 emergency operations, 2 cases died (4.9%), and bleedings were controlled by emergency surgery in 92.6% of cases. 44 of the 50 cases (88%) were followed up. The recurrence of bleeding occured in 5 cases, with a long-term bleeding rate of 11.4%. The authors suggest that anatomical factors might be the reason of inadequacy of portaoazygous interruption, and claim the advantages of transthoracic interruption of portoazygous circulation.
Citation：
Dai Yuanbin,Shi De,Jiang Junben,et al.. THE SURGICAL AND ANATOMIC BASES OF TRANSTHORACIC INTERRUPTION OF PORTOAZYGOS CIRCULATION (A REPORT OF 52 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1995, 2(4): 209-212. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
裘法祖. 再论断流术治疗门脉高压并发上消化道大出血. 实用外科杂志，1990；10(4)：195.
|
| 2. |
时德，高根伍，姜均本等.经胸与经腹门奇静脉断流术治疗门脉高压症的比较.重庆医药，1986；15(5)：11.
|
| 3. |
段志泉，魏春果，丛巍等.门静脉高压症断流术后并发症的防治体会. 中华外科杂志1992；30(10)：607.
|
| 4. |
戴植本，刘飞龙，梅铭惠等.贲门周围血管离断术治疗食管胃底曲张静脉破裂大出血.中华外科杂志，1981；19(4)：210.
|
| 5. |
时德，白麟祥，刘象和等.经胸门奇静脉断流治疗门脉高压症曲张静脉破裂大出血38例体会. 实用外科杂志，1991；11(10)：539.
|
| 6. |
刘永锋，徐恩多. 胃左静脉的局部解剖及其临床意义. 中国临床解剖学杂志，1983；1：43.
|
| 7. |
祁建，高远孚，高克实等.胃贲门附近的静脉及其临床意义. 临床解剖学杂志，1985；3(3)：170.
|
| 8. |
刘永锋，徐恩多.胃后动、静脉的局部解剖及其临床意义. 中华外科杂志，1982；20：520.
|
| 9. |
王富强，肖俊杰，罗兆明等. 胃后动、静脉的观察及其临床意义，临床解剖学杂志，1985；3(3)：177.
|
| 10. |
姜殿辅，胡滨成，施文辉等.门静脉侧支循环研究的某些进展.中国临床解剖学杂志，1988；6(1)：53.
|
| 11. |
吴国流.变异胃冠状静脉1例. 临床解剖学杂志，1987；5(4)：198.
|
| 12. |
George EP, Jamce HT, Norman CE. Transthoracic devasularization procedure for control of bleeding esophageal varices: preliminary report. Am J Surg, 1977;134(6):794.
|
| 13. |
Inokuchi K, Kibayashi M, Saku M,et al. Transthorcic cardiectomy with infraesophag-supragastric devascularization for bleeding esophagealvarices. Jpn J Surg, 1977;7(3):123.
|
| 14. |
戴植本，龚本群，刘飞龙等.胃壁血管的反常血流在门脉高压中的地位. 实用外科杂志，1984；4(2)：67.
|
- 1. 裘法祖. 再论断流术治疗门脉高压并发上消化道大出血. 实用外科杂志，1990；10(4)：195.
- 2. 时德，高根伍，姜均本等.经胸与经腹门奇静脉断流术治疗门脉高压症的比较.重庆医药，1986；15(5)：11.
- 3. 段志泉，魏春果，丛巍等.门静脉高压症断流术后并发症的防治体会. 中华外科杂志1992；30(10)：607.
- 4. 戴植本，刘飞龙，梅铭惠等.贲门周围血管离断术治疗食管胃底曲张静脉破裂大出血.中华外科杂志，1981；19(4)：210.
- 5. 时德，白麟祥，刘象和等.经胸门奇静脉断流治疗门脉高压症曲张静脉破裂大出血38例体会. 实用外科杂志，1991；11(10)：539.
- 6. 刘永锋，徐恩多. 胃左静脉的局部解剖及其临床意义. 中国临床解剖学杂志，1983；1：43.
- 7. 祁建，高远孚，高克实等.胃贲门附近的静脉及其临床意义. 临床解剖学杂志，1985；3(3)：170.
- 8. 刘永锋，徐恩多.胃后动、静脉的局部解剖及其临床意义. 中华外科杂志，1982；20：520.
- 9. 王富强，肖俊杰，罗兆明等. 胃后动、静脉的观察及其临床意义，临床解剖学杂志，1985；3(3)：177.
- 10. 姜殿辅，胡滨成，施文辉等.门静脉侧支循环研究的某些进展.中国临床解剖学杂志，1988；6(1)：53.
- 11. 吴国流.变异胃冠状静脉1例. 临床解剖学杂志，1987；5(4)：198.
- 12. George EP, Jamce HT, Norman CE. Transthoracic devasularization procedure for control of bleeding esophageal varices: preliminary report. Am J Surg, 1977;134(6):794.
- 13. Inokuchi K, Kibayashi M, Saku M,et al. Transthorcic cardiectomy with infraesophag-supragastric devascularization for bleeding esophagealvarices. Jpn J Surg, 1977;7(3):123.
- 14. 戴植本，龚本群，刘飞龙等.胃壁血管的反常血流在门脉高压中的地位. 实用外科杂志，1984；4(2)：67.
